CA2612248A1 - Presbyopia correction through negative high-order spherical aberration - Google Patents
Presbyopia correction through negative high-order spherical aberration Download PDFInfo
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- CA2612248A1 CA2612248A1 CA002612248A CA2612248A CA2612248A1 CA 2612248 A1 CA2612248 A1 CA 2612248A1 CA 002612248 A CA002612248 A CA 002612248A CA 2612248 A CA2612248 A CA 2612248A CA 2612248 A1 CA2612248 A1 CA 2612248A1
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- eye
- spherical aberration
- presbyopia
- prescription
- mitigating
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- 230000004075 alteration Effects 0.000 title claims abstract 27
- 201000010041 presbyopia Diseases 0.000 title claims abstract 23
- 238000000034 method Methods 0.000 claims abstract 20
- 210000001747 pupil Anatomy 0.000 claims abstract 10
- 238000001356 surgical procedure Methods 0.000 claims abstract 3
- 238000011282 treatment Methods 0.000 claims abstract 2
- 210000004087 cornea Anatomy 0.000 claims 5
- 230000002093 peripheral effect Effects 0.000 claims 3
- 210000001525 retina Anatomy 0.000 claims 2
- 230000004308 accommodation Effects 0.000 claims 1
- 230000000694 effects Effects 0.000 claims 1
- 230000001939 inductive effect Effects 0.000 claims 1
- 230000007547 defect Effects 0.000 abstract 1
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B3/00—Apparatus for testing the eyes; Instruments for examining the eyes
- A61B3/10—Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions
- A61B3/103—Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions for determining refraction, e.g. refractometers, skiascopes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B3/00—Apparatus for testing the eyes; Instruments for examining the eyes
- A61B3/10—Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions
- A61B3/1015—Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions for wavefront analysis
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/10—Eye inspection
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/14—Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
- A61F2/16—Intraocular lenses
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/14—Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
- A61F2/16—Intraocular lenses
- A61F2/1613—Intraocular lenses having special lens configurations, e.g. multipart lenses; having particular optical properties, e.g. pseudo-accommodative lenses, lenses having aberration corrections, diffractive lenses, lenses for variably absorbing electromagnetic radiation, lenses having variable focus
- A61F2/1637—Correcting aberrations caused by inhomogeneities; correcting intrinsic aberrations, e.g. of the cornea, of the surface of the natural lens, aspheric, cylindrical, toric lenses
- A61F2/164—Aspheric lenses
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
- A61F9/008—Methods or devices for eye surgery using laser
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
- A61F9/008—Methods or devices for eye surgery using laser
- A61F9/00802—Methods or devices for eye surgery using laser for photoablation
- A61F9/00804—Refractive treatments
- A61F9/00808—Inducing higher orders, e.g. for correction of presbyopia
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- G—PHYSICS
- G02—OPTICS
- G02C—SPECTACLES; SUNGLASSES OR GOGGLES INSOFAR AS THEY HAVE THE SAME FEATURES AS SPECTACLES; CONTACT LENSES
- G02C7/00—Optical parts
- G02C7/02—Lenses; Lens systems ; Methods of designing lenses
- G02C7/04—Contact lenses for the eyes
- G02C7/041—Contact lenses for the eyes bifocal; multifocal
-
- G—PHYSICS
- G02—OPTICS
- G02C—SPECTACLES; SUNGLASSES OR GOGGLES INSOFAR AS THEY HAVE THE SAME FEATURES AS SPECTACLES; CONTACT LENSES
- G02C7/00—Optical parts
- G02C7/02—Lenses; Lens systems ; Methods of designing lenses
- G02C7/04—Contact lenses for the eyes
- G02C7/041—Contact lenses for the eyes bifocal; multifocal
- G02C7/042—Simultaneous type
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
- A61F9/008—Methods or devices for eye surgery using laser
- A61F2009/00844—Feedback systems
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
- A61F9/008—Methods or devices for eye surgery using laser
- A61F2009/00861—Methods or devices for eye surgery using laser adapted for treatment at a particular location
- A61F2009/00872—Cornea
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
- A61F9/008—Methods or devices for eye surgery using laser
- A61F2009/00878—Planning
- A61F2009/0088—Planning based on wavefront
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
- A61F9/008—Methods or devices for eye surgery using laser
- A61F9/00802—Methods or devices for eye surgery using laser for photoablation
- A61F9/00804—Refractive treatments
- A61F9/00806—Correction of higher orders
-
- G—PHYSICS
- G02—OPTICS
- G02C—SPECTACLES; SUNGLASSES OR GOGGLES INSOFAR AS THEY HAVE THE SAME FEATURES AS SPECTACLES; CONTACT LENSES
- G02C2202/00—Generic optical aspects applicable to one or more of the subgroups of G02C7/00
- G02C2202/22—Correction of higher order and chromatic aberrations, wave front measurement and calculation
Landscapes
- Health & Medical Sciences (AREA)
- Ophthalmology & Optometry (AREA)
- Life Sciences & Earth Sciences (AREA)
- General Health & Medical Sciences (AREA)
- Physics & Mathematics (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Surgery (AREA)
- Vascular Medicine (AREA)
- Optics & Photonics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- General Physics & Mathematics (AREA)
- Biophysics (AREA)
- Cardiology (AREA)
- Transplantation (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Otolaryngology (AREA)
- Radiology & Medical Imaging (AREA)
- Pathology (AREA)
- Electromagnetism (AREA)
- Prostheses (AREA)
- Eyeglasses (AREA)
Abstract
Devices, systems, and methods for treating and/or determining appropriate prescriptions for one or both eyes of a patient are particularly well-suited for addressing presbyopia, often in combination with concurrent treatments of other vision defects. High-order spherical aberration may be imposed in one or both of a patient's eyes, often as a controlled amount of negative spherical aberration extending across a pupil. A desired presbyopia-mitigating quantity of high-order spherical aberration may be defined by one or more spherical Zernike coefficients, which may be combined with Zernike coefficients generated from a wavefront aberrometer. The resulting prescription can be imposed using refractive surgical techniques such as laser eye surgery, using intraocular lenses and other implanted structures, using contact lenses, using temporary or permanent corneal reshaping techniques, and/or the like.
Claims (17)
1. ~A method for treating presbyopia of a patient having an eye, the method comprising inducing a presbyopia-mitigating quantity of high-order spherical aberration in the eye.
2. ~The method of claim 1, wherein the eye has a pupil, and wherein the spherical aberration extends across the pupil.
3. ~The method of claim 2, wherein the presbyopia-mitigating quantity is in a range from about 0.05 to about 0.4 microns of negative spherical aberration across the pupil.
4. ~The method of claim 3, wherein the presbyopia-mitigating quantity is in a range from about 0.1 to about 0.3 microns of negative spherical aberration across the pupil.
5. ~The method of claim 4, wherein the presbyopia-mitigating quantity is in a range from about 0.15 to about 0.25 microns of negative spherical aberration across the pupil.
6. ~The method of claim 1, wherein the spherical aberration comprises a radially symmetric negative spherical asphericity.
7. ~The method of claim 6, wherein the spherical aberration correspond to at least one significant high order Zernike polynomial coefficient.
8. ~The method of claim 7, wherein the spherical aberration consists of a plurality of significant, high order Zernike polynomial coefficients.
9. ~The method of claim 8, further comprising combining the spherical aberration with a plurality of wavefront Zernike coefficients, the wavefront Zernike coefficients defining a refractive defect-correcting prescription for the eye, and wherein the combined presbyopia-mitigating quantity of spherical aberration and refractive defect-correcting prescription are induced in the eye by at least one of reshaping a cornea, inserting a lens into the eye, positioning a lens in front of a cornea, laser eye surgery, LASEK, LASIK, photorefractive keratectomy, a contact lens, a scleral lens, an intraocular lens, a phacik intraocular lens, or a combination thereof.
10. ~The method of claim 1, further comprising measuring refractive aberrations of the eye with a wavefront aberrometer;
determine wavefront Zernike coefficients of the measured refractive aberrations; and defining a prescription for the patient by combining the wavefront Zernike coefficients with at least one high-order Zernike coefficient corresponding to the presbyopia-mitigating quantity of spherical aberration.
determine wavefront Zernike coefficients of the measured refractive aberrations; and defining a prescription for the patient by combining the wavefront Zernike coefficients with at least one high-order Zernike coefficient corresponding to the presbyopia-mitigating quantity of spherical aberration.
11. ~The method of claim 1, wherein the eye has a cornea and a retina and wherein the treated eye is configured so that an image in a plane between the cornea and the retina, of a point source at a viewing distance from the eye, has a central area with a central intensity surrounded by a peripheral area with a peripheral intensity, the central intensity being higher than the peripheral intensity.
12. ~The method of claim 11, further coinprising sharpening the image using residual accommodation of the eye.
13. ~The method of claim 1, further comprising:
identifying the presbyopia-mitigating quantity of spherical aberration; and determining a presbyopia prescription providing the identified quantity of spherical aberration;
wherein the presbyopia-mitigating quantity of spherical aberration is induced by superimposing the determined presbyopia prescription on the eye.
identifying the presbyopia-mitigating quantity of spherical aberration; and determining a presbyopia prescription providing the identified quantity of spherical aberration;
wherein the presbyopia-mitigating quantity of spherical aberration is induced by superimposing the determined presbyopia prescription on the eye.
14. ~A method for treating presbyopia in a patient having an eye with a pupil, the method comprising altering refraction of the eye so that the altered eye has a negative spherical aberration in a range from about 0.1 to about 0.3 microns across the pupil so that the effect of the presbyopia is mitigated.
15. ~A method for planning a presbyopia treatment for an eye of a patient having a pupil where a plurality of Zernike polynomial coefficients correspond to measured aberrations of the eye, the method comprising deriving a prescription for the eye by combining the Zernike polynomial coefficients with at least one high-order Zernike polynomial coefficient of a presbyopia-mitigating negative spherical aberration.
16. ~A system for treating presbyopia, the system comprising a prescription generator module coupled to an output, the prescription generator module defining a presbyopia-mitigating quantity of high-order spherical aberration for the eye, the output configured for communication to a lens producing or modifying assembly.
17. ~The system of claim 16, wherein the prescription generator has an input, and further comprising:
a wavefront system coupled to the input of the prescription generator, the wavefront system generating a plurality of refractive Zernike coefficients corresponding to sensed aberrations of an eye;
the lens producing assembly, including an ablative laser beam for imposing a prescription on the eye by directing a pattern of laser energy toward a cornea of the eye;
wherein the prescription generator combines the refractive Zernike coefficients with at least one presbyopia-mitigating Zernike coefficients, the at least one presbyopia-mitigating Zernike coefficient comprising at least one high-order Zernike coefficient corresponding to the presbyopia-mitigating quantity of spherical aberration, so as to provide the eye with between about 0.1 and about 0.3 microns of negative spherical aberration across the pupil.
a wavefront system coupled to the input of the prescription generator, the wavefront system generating a plurality of refractive Zernike coefficients corresponding to sensed aberrations of an eye;
the lens producing assembly, including an ablative laser beam for imposing a prescription on the eye by directing a pattern of laser energy toward a cornea of the eye;
wherein the prescription generator combines the refractive Zernike coefficients with at least one presbyopia-mitigating Zernike coefficients, the at least one presbyopia-mitigating Zernike coefficient comprising at least one high-order Zernike coefficient corresponding to the presbyopia-mitigating quantity of spherical aberration, so as to provide the eye with between about 0.1 and about 0.3 microns of negative spherical aberration across the pupil.
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11/173,904 US7261412B2 (en) | 2005-06-30 | 2005-06-30 | Presbyopia correction through negative high-order spherical aberration |
US11/173,904 | 2005-06-30 | ||
PCT/US2006/023820 WO2007005261A2 (en) | 2005-06-30 | 2006-06-19 | Presbyopia correction through negative high-order spherical aberration |
Publications (2)
Publication Number | Publication Date |
---|---|
CA2612248A1 true CA2612248A1 (en) | 2007-01-11 |
CA2612248C CA2612248C (en) | 2012-09-11 |
Family
ID=37589047
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA2612248A Expired - Fee Related CA2612248C (en) | 2005-06-30 | 2006-06-19 | Presbyopia correction through negative high-order spherical aberration |
Country Status (8)
Country | Link |
---|---|
US (5) | US7261412B2 (en) |
EP (1) | EP1895928B1 (en) |
JP (1) | JP4917599B2 (en) |
KR (1) | KR101274321B1 (en) |
AU (1) | AU2006266300B2 (en) |
CA (1) | CA2612248C (en) |
MX (1) | MX2007016344A (en) |
WO (1) | WO2007005261A2 (en) |
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